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Abstract

The genital tract of women wedged between the GI and urological tracts, shares with those tracts the pelvic floor. Frequently the pathologies of the GI and urological tracts have important consequences on the genital tract by extension of the disease or by irradiation of the disease related pain and dysfunction. Irritable bowel syndrome and interstitial cystitis are good exemples of such clinical management challenges. The reverse is also true: disease of the genital tract will affect the urological tract or the GI tracts. Essential vulvodynia and provoked vestibulodynia are good exemples of such clinical management challenges. This presentation will delineate the impacts of GI and urological tracts diseases on the genital tracts and the impacts of genital tract disease on the GI and urological tracts. Discussion about complexity of symptoms and diagnostic challenges, pharmaceutical and non pharmaceutical approaches, psychometric and medical testing as well as psychosexual counseling will take place. Examples of multidisciplinary team approach will be presented. Demonstration will be made of the many benefits derived from such a multidisciplinary team approach.

Biography

Marc Steben is a Medical Advisor at the STI unit of the Qu閎ec National Public Health Institute and Medical Director of Clinique A rue McGill, a multidisciplinary clinic devoted to sexual health including genital pain. He has published more than 60 peer reviewed articles. He is a member of the International Society for the Study of Vulvo-vaginal disease mostly involved on the psychosexual issues committee. He has lectured on all continents, trained students and published articles and book chapters about prevention, diagnosis, treatment and counseling in sexual health.